Mark Fondriest, RPH, DPLA

NPI #1205306370 in Bedford, Ohio

Provider Information

NPI Number: 1205306370
Entity Type: Individual
Name: Mark Fondriest, RPH, DPLA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH, DPLA
Enumeration Date: Nov 30, 2018
Last Updated: Nov 30, 2018

Practice Location

Address: 44 BLAINE AVE
City: Bedford
State: Ohio
ZIP Code: 44146-2709
Phone: (440) 735-3595

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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